| Laurie B. Botie, Md, Pc | |
|
600 Clark Rd Tewksbury MA 01876-1699 | |
| (978) 453-9272 | |
| (978) 970-1506 |
| Full Name | Laurie B. Botie, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Clark Rd, Tewksbury, Massachusetts |
| Authorized Official Name and Position | Laurie B. Botie (PRESIDENT) |
| Authorized Official Contact | 9784539272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie B. Botie, Md, Pc 600 Clark Rd Tewksbury MA 01876-1699 Ph: (978) 453-9272 | Laurie B. Botie, Md, Pc 600 Clark Rd Tewksbury MA 01876-1699 Ph: (978) 453-9272 |
| NPI Number | 1740304666 |
|---|---|
| Provider Enumeration Date | 03/17/2007 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740304666 | NPI | - | NPPES |
| 01-00704 | Other | MA | UNITED HEALTHCARE |
| 701208 | Other | MA | TUFTS |
| 7662 | Other | MA | HARVARD PILGRIM |
| 9778489 | Medicaid | MA | |
| M16427 | Other | MA | BLUE CRS BL SHLD GROUP # |
| 6727439 | Other | MA | CIGNA HEALTHCARE |
| 56335 | Other | MA | AETNA GROUP # |
| 30002667 | Other | NH | MEDICAID NEW HAMPSHIRE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46137 (Massachusetts) | Primary |
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